Facility Evaluation Report

Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced case management visit due to an incident that happened on 9/14/22. LPA met with facility staff and explained the reason for this visit.

On 9/14/22 there was an incident where a client #1 (C1) was alleged to be hit by staff # 1(S1). Administrator was made aware of incident but failed to report the alleged incident to Community Care Licensing in a timely manner. A serious incident report was not sent to Licensing until 10/11/22. Due to the incident not being reported in a timely manner a deficiency is issued on LIC 809 D. Appeal Rights explained. Exit Interview conducted.